机械通气老年患者早期肠内营养支持治疗观察  

Study on Effect of Early Enteral Nutrition on Elderly Patients with Mechanical Ventilation

作　　者：李娟[1] 李曙平[1] 谭昌金[1] 杜伟华[1] 钟雷[1] 

机构地区：[1]广州军区武汉总医院干部病房一科,湖北武汉430070

出　　处：《中国误诊学杂志》2007年第13期2949-2951,共3页Chinese Journal of Misdiagnostics

摘　　要：目的:观察机械通气老年患者早期肠内营养支持治疗的效果。方法:按是否在机械通气48 h内开始肠内营养支持治疗,将86例老年机械通气患者分为早期肠内营养(EEN)组56例和非早期肠内营养(非EEN)组30例,在摄入相当热量和氮量的条件下观察两组患者机械通气时间、平均住院时间、发生呼吸机相关性肺炎(VAP)的病例数和死亡病例数、出院时/死亡前APACHEⅡ评分。结果:EEN组和非EEN组机械通气时间、平均住院时间、VAP病例数、死亡病例数分别为(20.5±8.6)d/(32.4±11.0)d、(37.4±16.5)d/(66.7±26.2)d、25例/21例、11例/12例,经统计学处理差异有显著性(P<0.05);而APACHEⅡ评分为(22.7±12.9)分/(24.5±15.3)分,经统计学处理差异无显著性(P>0.05)。结论:早期肠内营养能明显缩短老年机械通气患者机械通气时间和住院时间,降低呼吸机相关性肺炎的发生率和病死率。Objective：To study the effect of the early enteral nutrition on the elderly patients with mechanical ventilation. Methods ：86 elderly patients with mechanical ventilation were classified into two groups：group EEN included 56 patients receiving enteral nutrition within 48 hours of the initiation of mechanical ventilation and group non-EEN included 30 patients which did not received the early enteral nutrition in 48 hours. Days of mechanical ventilation and in hospital, patients with VAP,mortality and acute physioloy and chronic health evaluation Ⅱ （APACHE Ⅱ） were compared. Results ：Days of mechanical ventilation and in hospital, patients with VAP, mortilaty of group EEN and non-EEN were （20.5±8.6） d/（32.4±11.0） d, （37.4±16.5） d/（66.7±26.2） d, 25 cases/21 cases,11 cases/12 cases respectively（P〈0.05）;but APACHE Ⅱ was （22.7±12. 9）/（24.5±15.3）（P〉0.05）. Conclusion：The early enteral nutrition has obviously shortened the days of mechanical ventilation and in hospital, reduced the incidence of ventilator-associated pneumonia and mortality of the elderly with mechanical ventilation.

关 键 词：肺炎/病因学 肺炎/治疗 呼吸 人工 肠道营养 

分 类 号：R563.105[医药卫生—呼吸系统]